| NPI | 1669782181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 669) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 1843) |
| 106H00000X Marriage & Family Therapist (Licence: CT 1027) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |